HomeMy WebLinkAbout301659 08/08/16 t.Coq
J/ .�•- CITY OF CARMEL, INDIANA VENDOR: 361104
�3 ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $*******109.26*
CARMEL, INDIANA 46032 PO BOX 781401 CHECK NUMBER: 301659
PHILADELPHIA PA 1 91 78-1 401 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
109E 4237000 0001097209 109.26 REPAIR PARTS
Voucher No. Warrant No.
361104 Cybex International, Inc. Allowed 20
P.O. Box 781401
Philiadelphia, PA 19178-1401
In Sum of$
$ 109.26
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO CCT#/TlTLl AMOUNT Board Members
Dept#
1096-21 1097209 4237000 $ 109.26 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
August 4, 2016
Signature
$ 109.26 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
361104 Cybex international, Inc. Terms
P.O. Box 781401
Philiadelphia, PA 19178-1401
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/28/16 1097209 Parts for Cybex Equipment XX4117 $ 109.26
Total $ 109.26
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
With IC 5-11-10-1.6
20_
Clerk-Treasurer
`IBEX® Global Headquarters Remit-to:
10 Trotter Drive C Cybex Internatio�nanc. INVOICE
Cybex International, Inc. Medway,MA 02053 P O..Boxa78140(508)533-4300 Philadelphia,PA191..78.1401 Page 1 of 1
(508)533-5500 fax , United.States---.—/
Sold Ta Carmel Clay Parks&Recreation Ship Ta Carmel Clay Parks&Recreation
1411 E. 116th St. 1235 Central Park Dr.E. -----�In-vo.ice_Infor-mation_
Carmel IN 46032 Monon center 'Invoice Date: - --� Jul/28/2, 200
USA Carmel IN 46032 1Invo.ice: 00010972.09;.
USA Customer No: CYB0037634
Payment Terms: Net 30
BIII To: Carmel Clay Parks&Recreation R .0 T Due Date: Aug/27/2016
Dawn Koepper AMOUNT DUE: 109.26 USD
1411 E. 116th St. AUG 0 2 2016
Carmel IN 46032
United States
Shipment Information
Date Shipped: Jul/28/2016
rder No: WEB50
Purchas Order No: X• -4117
Pro No:
er:
�__ _
Ship Via: GROUND
Freight Terms:
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 4800-023 Cushion S/A,4.5 X 11 2.00 EA 50.88 N 101.76
2 OWTPRTFRT Shipping and Handling Charge 1.00 EA 7.50 N 7.50
Subtotal: 109.26
Subtotal (Sales/Use): 0.00
�, AMOUNT DUE: - 109.26USD
Order entered by Marcia Murphy.Thank you for your order.
20=Dove Grey Upholstery
Buyer accepts and agrees to prices, specifications, standard terms & conditions of sale, including
warranty terms on this document,together with all the attachments hereto